CAROLINE LEE CLARK ANP
NPI 1962771568
Nurse Practitioner - Psychiatric/Mental Health in Jamaica Plain, MA
About Caroline Lee Clark Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINE LEE CLARK ANP (NPI 1962771568) is an individual psychiatric/mental health provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (RN2273680) and active in the NPI registry since December 2011. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Caroline Lee Clark Anp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2017 through October 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Caroline Clark's NPI number?
The NPI number for Caroline Clark is 1962771568. It was assigned to this individual provider in the NPPES registry on December 28, 2011.
Where is Caroline Clark located?
Caroline Clark practices at 31 Heath St, Jamaica Plain, MA 02130. The listed phone number is (617) 523-6400.
What is Caroline Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Caroline Clark enrolled in Medicare?
No. Caroline Clark has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Caroline Clark accept?
Health plans from Anthem Blue Cross and Blue Shield list Caroline Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Caroline Clark was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Caroline Lee Clark, ANP · NPI 1962771568
Psychiatric/Mental Health physician in Jamaica Plain, Massachusetts. Individual provider, active in the CMS NPPES registry since December 28, 2011.
## Identity
- **NPI:** 1962771568 (Entity type: Individual)
- **Enumerated:** December 28, 2011
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN2273680 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 31 HEATH ST, Jamaica Plain, MA 02130-1650
- **Phone:** (617) 523-6400
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** January 11, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1962771568) · Data from the CMS NPPES public registry.